Provider Demographics
NPI:1982917126
Name:NUTRIPHASICS, LLC
Entity Type:Organization
Organization Name:NUTRIPHASICS, LLC
Other - Org Name:LEMOND NUTRITION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-422-9180
Mailing Address - Street 1:400 CHISHOLM PL STE 100
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-6911
Mailing Address - Country:US
Mailing Address - Phone:972-422-9180
Mailing Address - Fax:888-821-2292
Practice Address - Street 1:400 CHISHOLM PL STE 100
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-6911
Practice Address - Country:US
Practice Address - Phone:972-422-9180
Practice Address - Fax:888-821-2292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-16
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1932591070OtherEMILY DUDENSING, RDN, LD
TX1013349059OtherMELISSA MENDEZ RDN
TX1306293055OtherLAUREN MARTIN RDN
TX1609972074OtherANGELA LEMOND, RDN, CSP, LD
TX1982917126OtherGROUP NPI
TX1306293055OtherLAUREN MARTIN RDN
TX1306293055OtherLAUREN MARTIN RDN
TX1568821817OtherKERI STONER-DAVIS, MS, RDN, LD
TX1609972074OtherANGELA LEMOND, RDN, CSP, LD
TX1932591070OtherEMILY DUDENSING, RDN, LD
TX1275164774OtherSAMANTHA MCINERNEY RDN
TX1265078372OtherKAITLIN SMITH RDN